(Emergency) Payroll Request

INSTRUCTIONS

Use this form to make an (Emergency) payroll request. Step 1: First submit the timesheet(s), or PTO request form you want to be paid for. Step 2: Then submit this form request by 1pm for your payroll to be processed the same day. Request received after 1pm will be processed the following business day. Payroll requests are only processed via direct deposit or check by mail (Direct Deposit Transactions Take 2 Business Days).

Notes:

Do not call after submitting your timesheet or request. You will receive email confirmation that we received your request, and if there is any issue with the timesheet you submitted, we will contact you. You must submit a separate request for each recipient separately. If your timesheet contains errors you will need to re-submit your timesheet, then resubmit your non-scheduled payroll request.

Employee Email
*

example@example.com

Employee Phone Number
*

-
Area Code Phone Number

Employee Name
*

First Name Last Name

Client Name
*

First Name Last Name

Date Request From

-
Month
-
Day Year

Date

Date Requested To

-
Month
-
Day Year

Date

Timesheet(s) Error Free

Yes

Requesting PTO

Yes

Number of PTO hours Requested

If no PTO requested leave blank.

Please submit a PTO Request form if you are requesting PTO. Click here for the request form.